An Insurer’s Program To Incentivize Generic Oncology Drugs Did Not Alter Treatment Patterns Or Spending On Care
| Autor: | Justin E. Bekelman, Laura Yasaitis, Lee N. Newcomer, Craig Newcomb, Atul Gupta, Era Kim |
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| Rok vydání: | 2019 |
| Předmět: |
Male
Financing Personal Actuarial science Payment reform 030503 health policy & services Health Policy Antineoplastic Agents Middle Aged United States 03 medical and health sciences 0302 clinical medicine Fee Schedules Drugs Generic Humans Female 030212 general & internal medicine Business Health Expenditures Practice Patterns Physicians' 0305 other medical science Oncology drugs Delivery of Health Care Reimbursement Incentive health care economics and organizations |
| Zdroj: | Health Affairs. 38:812-819 |
| ISSN: | 1544-5208 0278-2715 |
| DOI: | 10.1377/hlthaff.2018.05083 |
| Popis: | The high and rising costs of anticancer drugs have received national attention. The prices of brand-name anticancer drugs often dwarf those of established generic drugs with similar efficacy. In 2007-16 UnitedHealthcare sought to encourage the use of several common low-cost generic anticancer drugs by offering providers a voluntary incentivized fee schedule with substantially higher generic drug payments (and profit margins), thereby increasing financial equivalence for providers in the choice between generic and brand-name drugs and regimens. We evaluated how this voluntary payment intervention affected treatment patterns and health care spending among enrollees with breast, lung, or colorectal cancer. We found that the incentivized fee schedule had neither significant nor meaningful effects on the use of incentivized generic drugs or on spending. Practices that adopted the incentivized fee schedule already had higher rates of generic anticancer drug use before switching, which demonstrates selection bias in take-up. Our study provides cautionary evidence of the limitations of voluntary payment reform initiatives in meaningfully affecting health care practice and spending. |
| Databáze: | OpenAIRE |
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